Cottage Grove Place
NPI #1366421281 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1366421281
- Entity Type
- Organization
- Organization Name
- Cottage Grove Place
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jan 10, 2006
- Last Updated
- Aug 28, 2019
Practice Location
- Address
- 2115 1ST AVE SE
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52402
- Phone
- (319) 363-2420
Authorized Official
- Name
- WILLIAM C. JACOBSON
- Title
- BOARD CHAIR
- Phone
- (319) 363-2420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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